NPI 1003966326
Roundys Supermarkets INC
Practice location
- Address
- 1735 W Silver Spring Dr, Glendale, WI 53209-4400
- Phone
- (414) 247-8581
- Fax
- (414) 247-8603
- Mailing address
- PO Box 842772, Boston, MA 02284-2772
Authorised official
- Name
- Allison Bredestege
- Title
- Manager of Pharmacy Licensing
- Phone
- (513) 762-1019
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003966326
- Entity type
- Organization
- NPI issued
- 11 Jan 2007
- Record last updated
- 1 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.